The Development of Palliative Care Model for Patients End Stage Renal Disease at Mukdahan Hospital

Abstract

Purpose : To develop and study results of using a palliative care model for patients with end-stage renal disease at Mukdahan Hospital.

Study design : Research and development study.

Materials and Methods : There were divided into 4 phases: 1) analyze the situation, 2) develop the model, 3) use the model, and 4) evaluate the results of using the model. The purposively selected sample consisted of 20 professional nurses, 32 of patients with end-stage renal disease, and 32 of caregivers. The research instrument is a palliative care model for patients with end-stage renal disease. Data collection tools include:  A form for recording and a form for evaluating. Data were analyzed using descriptive statistics and paired t-test.

Main findings : The results of research found that model of palliative care for patients with end-stage renal disease has 3 components: 1) developing guidelines, 2) developing a nursing network, and 3) nursing according to Watson's theory of human care. The results of using the patient and caregiver model found that patients had an increased rate of access to services. Patients had a statistically significant decrease in palliative care outcome scores (p<.01). The mean score of peaceful end of life for patients and caregivers was significantly higher (p<.001; p<.001). The satisfaction level of the caregiver with palliative care is at a high level. The nursing side found that compliance with the guidelines was 88.33%. The level of professional nurses' opinions on appropriateness and feasibility of the palliative care model for patients with end-stage renal disease was at a high level (Mean=4.35, SD.=0.31).

Conclusion and recommendations : The developed model has a positive impact on patients and caregivers, which can be used effectively in nursing patients with end-stage renal disease.